Preliminary experience with a novel fluorescence lymphography using indocyanine green in patients with secondary lymphedema Naoki Unno, MD, Kazunori.

Slides:

Advertisements

Similar presentations

Indocyanine Green Lymphography Findings in Primary Leg Lymphedema T. Yamamoto, H. Yoshimatsu, M. Narushima, N. Yamamoto, A. Hayashi, I. Koshima European.

Advertisements

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

Endoleak after endovascular aneurysm repair: Duplex ultrasound imaging is better than computed tomography at determining the need for intervention Greg.

Volume 69, Issue 11, Pages e435-e444 (November 2014)

Peter Gloviczki, M. D. , Jack Fisher, M. D. , Larry H. Hollier, M. D

Without prejudice Journal of Vascular Surgery

Diagnosis and treatment of venous lymphedema

Paul Steven Collins, MD, Maj, MC, USA, J

Ning-Fei Liu, MD, PhD, Qing Lu, MD, Zhi-Xin Yan, MD

Volume 70, Issue 5, Pages (November 2016)

Soft tissue sarcomas may present with deep vein thrombosis

A patient with multiple paradoxical emboli

Thomas D. Willson, MD, Elizabeth Revesz, MD, Francis J

Noninvasive evaluation of the lymphatic system with lymphoscintigraphy: A prospective, semiquantitative analysis in 386 extremities Robert A. Cambria,

Compression therapy in breast cancer-related lymphedema: A randomized, controlled comparative study of relation between volume and interface pressure.

Compression therapy and liposuction of lower legs for bilateral hereditary primary lymphedema praecox Antonio Espinosa-de-los-Monteros, MD, Carlos A.

Brian G. Peterson, MD, Jon S. Matsumura, MD

Noncontrast three-dimensional magnetic resonance imaging vs lymphoscintigraphy in the evaluation of lymph circulation disorders: A comparative study

Extrinsic compression of the external iliac artery following internal fixation of an acetabular fracture Erin Koelling, MD, Dipankar Mukherjee, MD Journal.

A novel method of measuring human lymphatic pumping using indocyanine green fluorescence lymphography Naoki Unno, MD, Motohiro Nishiyama, MD, Minoru.

Foot claudication with plantar flexion as a result of dorsalis pedis artery impingement in an Irish dancer Brigitte K. Smith, MD, Travis Engelbert, MD,

Breakthrough: Arthur Blakemore and Arthur Voorhees, Jr

Noncontrast three-dimensional magnetic resonance imaging vs lymphoscintigraphy in the evaluation of lymph circulation disorders: A comparative study

Treatment of venous malformations by direct injection with ethanol

Anatomic and functional evaluation of the lymphatics and lymph nodes in diagnosis of lymphatic circulation disorders with contrast magnetic resonance.

Endoleak after endovascular aneurysm repair: Duplex ultrasound imaging is better than computed tomography at determining the need for intervention Greg.

Posttraumatic edema of the lower extremities: Evaluation of the lymphatic vessels with magnetic resonance lymphangiography Christian Lohrmann, MD, Gregor.

What is the clinical utility of a 6-month computed tomography in the follow-up of endovascular aneurysm repair patients? Michael R. Go, MD, Joel E. Barbato,

The dynamic-lymphaticovenular anastomosis method for breast cancer treatment- related lymphedema: Creation of functional lymphaticovenular anastomoses.

Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema Jiro Maegawa, MD, Yuichiro Yabuki, MD, Hiroto Tomoeda, MD, Misato Hosono,

Compartment syndrome with foot ischemia after inversion injury of the ankle Blandine Maurel, MD, Jean Brilhault, MD, Robert Martinez, MD, Patrick Lermusiaux,

Neal R. Barshes, MD, MPH, George Pisimisis, MD, Panos Kougias, MD

Without prejudice Journal of Vascular Surgery

Malcolm O. Perry, MD, Richard Kempczinski, MD

James O. Menzoian, MD Journal of Vascular Surgery

Depression is associated with worse patency and recurrent leg symptoms after lower extremity revascularization Gregory S. Cherr, MD, Jiping Wang, MD,

Infected aneurysm of the thoracic aorta

Peter Gloviczki, M. D. , Jack Fisher, M. D. , Larry H. Hollier, M. D

Niyant V. Patel, MD, Graham W. Long, MD, Zulfiqar F

Preservation of pelvic circulation with hypogastric artery bypass in endovascular repair of abdominal aortic aneurysm with bilateral iliac artery aneurysms

William Huang, MBBS, PhD, J. Leonel Villavicencio, MD, Norman M

Loss of lymphatic vessels and regional lipid accumulation is associated with great saphenous vein incompetence Hiroki Tanaka, MD, Nobuhiro Zaima, PhD,

Aikaterini A. Angeli, MD, Dimitra A. Angeli, MD, Chryssanthi A

The future of vascular surgery

Diagnosis and management of primary chylous ascites

Traumatic arteriovenous fistula 52 years after injury

Mid- and long-term device migration after endovascular abdominal aortic aneurysm repair: A comparison of AneuRx and Zenith endografts Britt H. Tonnessen,

Impaired lymphatic function recovered after great saphenous vein stripping in patients with varicose vein: Venodynamic and lymphodynamic results Minoru.

Reply Journal of Vascular Surgery

Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD

A Novel Method of Measuring Human Lymphatic Pumping in Healthy and Lymphedematous Legs Using Indocyanine Green Fiuorescence Lymphography N. Unno, M.

Reviewer Acknowledgment

Spiral computed tomography virtual angioscopy of aortic dissection

John C. Rasmussen, PhD, Melissa B

The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair Roel Hobo, MSc, Robert J.F. Laheij,

Boonprasit Kritpracha, MD, Anthony J. Comerota, MD,

H. Edward Garrett, MD, Robert W. Heidepriem, MD, L. Paul Broadbent, MD

Lower extremity artery stenosis distribution in an unselected elderly population and its relation to a reduced ankle-brachial index Johan Wikström, MD,

True abdominal aortic aneurysm in Marfan syndrome

Francesco Spinelli, MD, Francesco Stilo, MD, PhD

Regarding “Vascular abnormalities in patients with neurofibromatosis syndrome type I: Clinical spectrum, management, and results” John B. Chang, MD,

Rebecca Jeanmonod, MD, Chad Lewis, MD Journal of Vascular Surgery

Mark O. Baerlocher, BSc, Dheeraj K. Rajan, MD, FRCPC, FSIR, Douglas J

The Semmes Weinstein monofilament examination is a significant predictor of the risk of foot ulceration and amputation in patients with diabetes mellitus

Lymphoscintigraphy to confirm the clinical diagnosis of lymphedema

Aritoshi Hattori, MD, Kenji Suzuki, MD

Luke S. Erdoes, MD, Timothy P. Milner, MD Journal of Vascular Surgery

Lower extremity lymphedema caused by acquired immune deficiency syndrome – related Kaposi's sarcoma: Case report and review of the literature Peter J.

Results of a single center vascular screening and education program

Susan Stevenson, MB ChB, Vijay Ramani, MS, Akhtar Nasim, MD

Presentation transcript:

Preliminary experience with a novel fluorescence lymphography using indocyanine green in patients with secondary lymphedema Naoki Unno, MD, Kazunori Inuzuka, MD, Minoru Suzuki, MD, Naoto Yamamoto, MD, Daisuke Sagara, MD, Motohiro Nishiyama, MD, Hiroyuki Konno, MD Journal of Vascular Surgery Volume 45, Issue 5, Pages 1016-1021 (May 2007) DOI: 10.1016/j.jvs.2007.01.023 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, The device used in this study. The image can be observed at the monitor of the laptop computer, and the images were recorded on the hard disk. B, Acquisition of images of fluorescent lymphography at the bedside. The instrument is equipped with a charge-coupled device camera and light-emitting diode, and is easy to use. Journal of Vascular Surgery 2007 45, 1016-1021DOI: (10.1016/j.jvs.2007.01.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 A and B, Normal fluorescent lymphography in healthy volunteers. Panoramic image shows continuous lymph channels from the injection site at the foot to the groin along the medial aspect of thigh. Journal of Vascular Surgery 2007 45, 1016-1021DOI: (10.1016/j.jvs.2007.01.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Characteristic pattern of fluorescent lymphography in patients with secondary lymphedema. A, Dermal backflow. B, Extended fluorescent images at the dorsum and plantar region of the foot. C, Dilated lymph channels with proximal obliteration. D, Diffuse glittering of fluorescent signals with scattered twinkling of the dye. Journal of Vascular Surgery 2007 45, 1016-1021DOI: (10.1016/j.jvs.2007.01.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 A, A 70-year-old woman with right lower extremity lymphedema who underwent hysterectomy, bilateral iliac node dissection, and pelvic radiotherapy for uterine cancer 30 years earlier (clinical stage III). B, Lymphoscintigram shows extensive dermal pattern in the right leg. C, Indocyanine green fluorescence lymphogram shows diffuse dermal backflow, extended fluorescent images at the dorsum and plantar region of the right foot, and Milky Way sign. Journal of Vascular Surgery 2007 45, 1016-1021DOI: (10.1016/j.jvs.2007.01.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 5 A, A 69-year-old woman with left lower extremity lymphedema who underwent hysterectomy, bilateral iliac dissection and pelvic radiotherapy for uterine cancer 12 years earlier (clinical stage II). B, Lymphoscintigram shows markedly delayed transport with dermal pattern in the left leg with diminished number of lymph nodes in the left inguinal region. C, Indocyanine green fluorescence lymphogram shows diffuse dermal backflow in the left leg. Journal of Vascular Surgery 2007 45, 1016-1021DOI: (10.1016/j.jvs.2007.01.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions